School Name/Event Site(Required)

Event Site Address(Required)

Street Address Address Line 2 City State ZIP Code

Suggested On-Site Date #1(Required)

Date #1 Game Start Time(Required)

(Date #1)Time Agent can arrive to setup:

Suggested On-Site Date #2(Required)

Date #2 Game Start Time(Required)

(Date #2)Time Agent can arrive to setup:

Suggested On-Site Date #3(Required)

Date #3 Game Start Time(Required)

(Date #3)Time Agent can arrive to setup:

School Contact Name for the On-Site Night:(Required)

First Last

School Contact Cell Phone Number:(Required)

School Contact Email Address:(Required)

Time of Giant Check Presentation(Required)

Example: Halftime

THANK YOU!